冥想治疗外科手术期间的疼痛和焦虑:一个系统的审查
Rami Rajjoub1,2, Sally El Sammak2, Tamim Rajjo3
1Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Brain and behavior
|July 29, 2024
概括
冥想可能有助于减少手术患者的疼痛和焦虑. 这一系统性审查发现,冥想实践在改善患者在术后期的结果方面表现有前途.
科学领域:
- 麻醉学和疼痛管理
- 综合医学是一个整体的医学.
- 心理学 心理学 心理学
背景情况:
- 术后疼痛和焦虑管理是一个重大的临床挑战.
- 目前的止痛药使用存在局限性,引发了对多式联络策略的兴趣.
- 冥想是一种潜在的非药物干预,用于症状管理.
研究的目的:
- 系统地审查对冥想对外科手术期间疼痛和焦虑的影响的随机对照试验.
- 评估各种冥想实践在术后环境中的有效性.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在多个数据库 (PubMed MEDLINE,Embase,PsycINFO等) 中进行全面的文献搜索. ) 的情况.
- 分析患者报告的疼痛和焦虑结果,使用验证的尺度 (例如VAS,BPI,DASS,STAI,HADS).
主要成果:
- 包括从1746篇文章的初步搜索中得到的16项研究.
- 八项研究评估了疼痛结果;五项报告改善,三项发现没有变化.
- 十项研究评估了焦虑;九项报告称冥想减少了焦虑水平.
结论:
- 有限的证据表明,冥想可以有效地缓解外科手术期间的疼痛和焦虑.
- 需要进一步的前性研究来证实常规冥想在术后环境中的有效性.
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